RUDY SAM JOSEPH SUIDAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

RUDY

Middle

SAM JOSEPH

Last Name

SUIDAN

Business Name

RUDY SAM JOSEPH SUIDAN MD

Original Issue Date

09/12/2019

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/31/2023